Individual
HEIDI L GANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609837848
—
MN
01
—
2375591
AMERICA'S PPO
MN
01
—
363G5GA
BLUE CROSS BLUE SHIELD MN
MN
01
—
6300266
MEDICA
MN
Enumeration date
03/29/2006
Last updated
11/22/2019
Update your record
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